青少年心理治疗中的联盟破裂与修复:临床医生可以从研究中学到什么。

IF 2.6 2区 心理学 Q2 PSYCHOLOGY, CLINICAL
Psychotherapy Pub Date : 2024-12-01 Epub Date: 2024-07-18 DOI:10.1037/pst0000535
Antonella Cirasola, Peter Fonagy, Nick Midgley
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引用次数: 0

摘要

客户与治疗师之间的合作关系被称为治疗联盟,在促进青少年参与心理治疗和改善症状方面发挥着重要作用。然而,研究表明,联盟关系紧张(称为破裂)在这一年龄组中很常见,这就强调了处理和解决这些问题以提高参与度和改善治疗效果的重要性。尽管如此,目前仍缺乏针对特定年龄段的指南来有效促进积极的联盟关系并修复这些破裂。本综述对现有文献进行了研究,旨在(a)总结当前对青少年心理治疗中联盟形成的理解,尤其是考虑到青少年工作的独特性,以及(b)提供基于证据的建议,以帮助青少年治疗师与这一年龄段的人群建立牢固的联盟并有效解决联盟破裂问题。现有证据表明,虽然为成人治疗设计的指导可以带来益处,但与青少年合作会面临独特的挑战。这些挑战包括对治疗的抵触、参与危险行为、保密问题以及父母的参与,这些都会使治疗关系变得紧张。这就强调了青少年治疗师了解青少年所面临的独特挑战和成长阶段并相应调整治疗方法的重要性。通过这样做,治疗师可以有效地满足青少年的需求,促进牢固的联盟关系,并处理可能出现的任何破裂。尽管联盟研究是一个相对较新的研究领域,有其固有的局限性,但这篇综述强调了联盟研究在改善青少年治疗和指导对这一年龄段的治疗师进行培训方面的关键作用。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Alliance rupture and repair in adolescent psychotherapy: What clinicians can learn from research.

The collaborative relationship between a client and therapist, known as the therapeutic alliance, plays an important part in promoting engagement and symptom improvement in adolescent psychotherapy. However, research indicates that alliance strains, called ruptures, are common among this age group, emphasizing the importance of addressing and resolving them for enhanced engagement and better outcomes. Despite this, there is a dearth of age-specific guidelines for effectively fostering a positive alliance and repairing these ruptures. This review examines existing literature to (a) summarize the current understanding of alliance formation in youth psychotherapy, particularly considering the distinct characteristics of working with adolescents, and (b) provide evidence-based recommendations to assist youth therapists in building strong alliances and effectively addressing alliance ruptures with this age group. Existing evidence indicates that while guidance designed for adult therapy can be beneficial, working with adolescents poses unique challenges. These include resistance to treatment, engagement in risky behaviors, confidentiality issues, and parental involvement, which can strain the therapeutic relationship. This emphasizes the importance for youth therapists to understand the unique challenges and developmental stages adolescents face and to adapt their approach accordingly. By doing so, therapists can effectively address the needs of adolescents, fostering a strong alliance and handling any ruptures that may arise. Despite being a relatively new area of study with its inherent limitations, this review underscores the critical role of alliance research in improving therapy for adolescents and guiding the training of therapists who work with this age group. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
Psychotherapy
Psychotherapy PSYCHOLOGY, CLINICAL-
CiteScore
4.60
自引率
12.00%
发文量
93
期刊介绍: Psychotherapy Theory, Research, Practice, Training publishes a wide variety of articles relevant to the field of psychotherapy. The journal strives to foster interactions among individuals involved with training, practice theory, and research since all areas are essential to psychotherapy. This journal is an invaluable resource for practicing clinical and counseling psychologists, social workers, and mental health professionals.
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